ATI LPN
ATI LPN Maternal Newborn 2023 IV Questions
Extract:
A nurse is reinforcing teaching about breastfeeding with a client who is postpartum.
Question 1 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Laying the baby on a pillow at breast level ensures proper positioning and latch, key to successful breastfeeding.
Extract:
A nurse is reinforcing teaching with a client about various contraceptive methods.
Question 2 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: Oral contraceptives decrease the risk for endometrial cancer by preventing thickening of the uterine lining, offering a protective effect with prolonged use.
Extract:
Nurses' Notes (Postpartum Assessment) 1200: The client successfully delivered a viable newborn via vaginal delivery. 1300: The client reports feeling tired and anxious. Assessment reveals the fundus is deviated to the left, boggy, and located 1 cm above the umbilicus. The perineal pad is saturated with lochia rubra, indicating excessive bleeding. The client reports an inability to ambulate to the bathroom due to residual numbness from the labor epidural. Pain is reported as 0 on a scale of 0 to 10. Fundal massage performed during assessment has yielded no improvement in uterine tone. A nurse is caring for a 36-year-old female client in the labor and delivery unit at 39 weeks of gestation admitted for evaluation of postpartum bleeding following a vaginal delivery.
Question 3 of 5
Select the 2 interventions the nurse should perform immediately.
Correct Answer: B,C
Rationale: Inserting a catheter empties the bladder, aiding uterine contraction; methylergonovine stimulates contractions to reduce bleeding from a boggy uterus.
Extract:
A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth.
Question 4 of 5
Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?
Correct Answer: A
Rationale: Encouraging ambulation stimulates circulation, preventing blood clots and reducing thrombophlebitis risk post-cesarean.
Extract:
A nurse in an obstetric clinic is caring for four clients.
Question 5 of 5
The nurse should identify that an intrauterine device is contraindicated for which of the following clients?
Correct Answer: B
Rationale: An IUD is contraindicated in clients with a positive pregnancy test because it can harm the developing fetus and lead to complications.